Organization Active NPI

Home Care Advantage, Inc.

  • Home Health Agency
  • Salem, OH
National Provider Identifier
1336158757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2138001 Issued in OH
Legal business name
HOME CARE ADVANTAGE, INC.
Practice address
718 E 3Rd St
Suite C
Salem, OH 44460-2915
Phone
(330) 337-4663
Fax
(330) 337-0481
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carolyn D Crookston
Title
Service Coordinator
Phone
(330) 337-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2138001 OH Primary

Addresses

Primary practice location

718 E 3Rd St
Suite C
Salem, OH 44460-2915

Mailing address

718 E 3Rd St
Suite C
Salem, OH 44460-2915
Phone (330) 337-4663

Other identifiers 1

IdentifierTypeStateIssuer
2138001MedicaidOH

National Provider Directory

National Provider Directory

Locations

718 E 3rd St
Ste C
Salem, OH 44460
Phone (330) 337-4663

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336158757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E 3RD ST",
            "address_2": "SUITE C",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602915",
            "telephone_number": "330-337-4663",
            "fax_number": "330-337-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E 3RD ST",
            "address_2": "SUITE C",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602915",
            "telephone_number": "330-337-4663",
            "fax_number": "330-337-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ADVANTAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROOKSTON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SERVICE COORDINATOR",
        "authorized_official_telephone_number": "330-337-4663",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2138001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.